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Full-Text Articles in Medicine and Health Sciences
Cervical Screening: Assessing Patient Anxiety, Janette Jones
Cervical Screening: Assessing Patient Anxiety, Janette Jones
Janette S. Jones
Severe stress reactions in female patients presenting for annual pelvic examination may occur for a variety of reasons, including previous sexual assault, post-traumatic stress disorder, and /or intimate partner violence. The clinician's approach to care delivery is critical for establishing trusting relationships with female patients exhibiting these types of reactions. A case study is used to describe assessment and communication techniques to improve care delivery.
Annual Examination And The Overly Anxious Patient, Janette Jones
Annual Examination And The Overly Anxious Patient, Janette Jones
Janette S. Jones
Varying degrees of nervousness may be found in patients presenting for gynecologic examination. It is the clinician's role to distinguish typical (expected) anxiety from that which is considered excessive. Extreme stress reactions may occur from a variety of reasons including prior sexual assault, post-traumatic stress disorder, and/or intimate partner violence. Approach to care delivery is critical for establishing a trusting relationship. Case study format will be used to discuss stress-reducing techniques during annual examinations.
Social Script Ipad Application Versus Usual Care Before Undergoing Medical Imaging: Two Case Studies Of Children With Autism, Norah Johnson, Octavia Bree
Social Script Ipad Application Versus Usual Care Before Undergoing Medical Imaging: Two Case Studies Of Children With Autism, Norah Johnson, Octavia Bree
Norah L Johnson
Autism spectrum disorders (ASDs) are neurodevelopmental disorders of socialization, communication, and repetitive behaviors. Children with ASD have underlying anxiety leading to challenging behaviors in unfamiliar situations. The anxiety impacts timely completion of an imaging procedure. The purpose of the case study was to describe the process of the social script intervention delivered using the iPad application on parent and child anxiety, child behaviors, and imaging procedure length between two parent and child dyads. The case study of two parent-child dyads demonstrated the process for comparing the social script intervention iPad app for preparing for imaging versus usual care. Parent anxiety …
Effect Of A Social Script Ipad Application For Children With Autism Going To Imaging, Norah Johnson, Octavia Bree, Erin Lalley, Kelly Rettler, Pam Grande, Md Gani, Sheikh Ahamed
Effect Of A Social Script Ipad Application For Children With Autism Going To Imaging, Norah Johnson, Octavia Bree, Erin Lalley, Kelly Rettler, Pam Grande, Md Gani, Sheikh Ahamed
Norah L Johnson
This randomized controlled trial feasibility study tested the effectiveness of an iPad® application (app) social script intervention for children with autism spectrum disorder (ASD) going to imaging and their parent (n = 32 parent/child dyads). Parents of the children exposed to the app (n = 16) had lower state anxiety compared to the parents whose children were not exposed to the app (n = 16) (effect size 0.33). Children exposed to the app had fewer externalized challenging behaviors than the control group (effect size 0.56). The results demonstrate feasibility and efficacy of the intervention. Further study of the iPad app …
Multinational Validation Of Anxiety, Hopelessness, And Ineffective Airway Clearance, Richard Fehring, Teresa Fadden, Madeline Wake
Multinational Validation Of Anxiety, Hopelessness, And Ineffective Airway Clearance, Richard Fehring, Teresa Fadden, Madeline Wake
Richard J Fehring
The effective use of nursing diagnosis internationally depends in part on incorporating language and cultural difference into the common language of nursing. International validation studies can provide a basis for this effort. This study tested three diagnoses—anxiety, hopelessness, and ineffective airway clearance—through multinational validation. The Diagnostic Content Validity (DCV) model was used to collect data from critical care nurses in six countries. Defining characteristics rated as critical (> .80) by the total sample were dyspnea for ineffective airway clearance and panic and nervousness for anxiety. No critical defining characteristics for hopelessness were identified. DCV ratios for all defining characteristics are …